Remote Reimbursement Specialist

Cardinal Health, Inc.; Santa Fe (NM); Remote; USD 32,000 - 41,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

HSA

401k

Job summary

Cardinal Health Sonexus Access and Patient Support is recruiting for a fully remote, full-time Customer Service role focused on enrollment, eligibility, and benefit investigation. You will be the first point of contact on inbound calls, determine patient needs, and ensure accurate enrollment documentation.

Ideal candidates have 3–6 years in patient support, with knowledge of Medicare/Medicaid and payer policies.

Qualifications

• 3-6 years of experience, preferred
• Knowledge of Medicare/Medicaid and payer policies, preferred
• Strong computer skills and proficiency in MS Office
• Prior Authorization and Appeal submissions experience preferred

Responsibilities

• First point of contact on inbound calls and determines needs and handles accordingly
• Creates and completes accurate applications for enrollment
• Scrutinizes forms and supporting documentation for missing information
• Conducts outbound correspondence to support patient needs
• Resolve patient questions and any representative concerns regarding status of their request
• Maintain accurate and detailed notations for every interaction in the database
• Make outbound calls to discuss missing information or benefit-related info
• Assess patient’s financial ability to afford therapy and guide to financial assistance
• Provide detailed activity notes for Benefit Investigation processing
• Work with teammates to support patient population needs
• Follow through on all benefit investigation rejections including Prior Authorizations/Appeals
• Track payer/plan issues and report changes to management
• Explain insurance options to patients and help select coverage
• Handle escalations with required timeframes

Skills

Customer service

Problem solving

Communication

Bilingual (preferred)

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Cardinal Health Sonexus Access and Patient Support is recruiting for a fully remote, full-time Customer Service role focused on enrollment, eligibility, and benefit investigation. You will be the first point of contact on inbound calls, determine patient needs, and ensure accurate enrollment documentation.

Ideal candidates have 3–6 years in patient support, with knowledge of Medicare/Medicaid and payer policies.